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临床试验/NL-OMON52593
NL-OMON52593已完成3 期

A Randomized, Multicenter, Double-blind, Placebo-controlled Phase 3 Study of Nivolumab Versus Placebo in Combination With Neoadjuvant Chemotherapy and Adjuvant Endocrine Therapy in Patients With High-risk, Estrogen Receptor-Positive (ER+), Human Epidermal Growth Factor Receptor 2-Negative (HER2-) Primary Breast Cancer - CA209-7F

Bristol-Myers Squibb0 个研究点目标入组 25 人开始时间: 待定最近更新:
适应症

试验速览

阶段
3 期
状态
已完成
发起方
入组人数
25

研究概览

简要总结

暂无简介。

研究设计

研究类型
Interventional

入排标准

年龄范围
18 至 99(—)

入选标准

  • Participants must have histologically confirmed unilateral invasive breast
  • carcinoma, with the following characteristics (i, ii, iii):
  • i) Localized invasive breast ductal carcinoma, confirmed by the local
  • pathologist, that includes T1c-T2, clinical node stage (cN)1-cN2, or T3 T4,
  • cN0-cN2. Inflammatory breast cancer is allowed.
  • ii) Participants must have ER+, HER2- BC meeting below characteristics (1,2):
  • (1)ER+ breast cancer and with or without progesterone-receptor (determined by
  • central laboratory as defined in the relevant American Society of Clinical
  • Oncology [ASCO]-College of American Pathologists [CAP] Guidelines).
  • (2)HER2- breast cancer tested in a local laboratory defined as a negative in
  • situ hybridization test or an immunohistochemistry (IHC) status of 0, 1+, or 2+
  • (determined by local laboratory as defined in the relevant ASCO- CAP
  • Guidelines).
  • iii)Participant must have Protocol-specified disease grade 2 or 3 according to
  • the most recent ASCO-CAP guidelines.
  • Participant must have an Eastern Cooperative Oncology Group (ECOG) scale
  • performance status of 0 or 1.
  • Participants provide tumor tissue at baseline (collected <= 60 days prior to
  • enrollment) and at surgery.
  • Women of childbearing potential (WOCBP) must have a negative serum or urine
  • pregnancy test within 24 hours prior to the start of study treatment.
  • Participants must have signed and dated an Institutional Review Board
  • (IRB)/Independent Ethics Committee (IEC)-approved written ICF, in accordance
  • with regulatory and institutional guidelines

排除标准

  • Women who are breastfeeding
  • Participants who are pregnant or expecting to conceive or father children
  • during the study, starting with the screening visit through 12 months for
  • patients who receive cyclophosphamide, or 7 months for patients who do not
  • receive cyclophosphamide, after the last dose of study treatment.
  • The following Breast Cancer (BC) characteristics:
  • - Ipsilateral invasive BC, Inoperable BC, Multicentric BC, Bilateral invasive
  • BC, ipsilateral ductal carcinoma in situ treated with radiation, or
  • contralateral invasive BC, at any time.
  • - Definitive clinical or radiologic evidence of metastatic disease.
  • - Any of the following clinical lymph node staging: cN3, cN3a, cN3b, or cN3c
  • - History of ductal carcinoma in situ
  • - History of pleomorphic lobular carcinoma in situ
  • - Evidence of ER- BC
  • - Undergone excisional biopsy of the primary tumour and/or axillary lymph
  • nodes or has undergone sentinel lymph node biopsy
  • Patients with >= Grade 1 peripheral neuropathy.
  • Patients with an active, known, or suspected autoimmune disease. Participants
  • with type I diabetes mellitus, hypothyroidism only requiring hormone
  • replacement, skin disorders (such as vitiligo, psoriasis, or alopecia) not
  • requiring systemic treatment, or conditions not expected to recur in the
  • absence of an external trigger are permitted to enroll.
  • Participants with a condition requiring systemic treatment with either
  • corticosteroids (> 10 mg daily prednisone equivalent) within 14 days or other
  • immunosuppressive medications within 30 days of randomization. Inhaled or
  • topical steroids, and adrenal replacement steroid doses > 10 mg daily
  • prednisone equivalent, are permitted in the absence of active autoimmune
  • Known human immunodeficiency virus (HIV) positive with an acquired
  • immunodeficiency syndrome (AIDS).
  • Prior malignancy active within the previous 3 years, except for locally
  • curable cancers that have been apparently cured.
  • Participants with serious or uncontrolled medical disorders.
  • Other non-malignant systemic disease that would preclude the participant
  • from receiving study treatment or would prevent required follow-up.
  • Active infection or chronic infection requiring chronic suppressive
  • antibiotics.
  • Malabsorption syndrome, ulcerative colitis, inflammatory bowel disease,
  • resection of the stomach or small bowel, or other disease or condition
  • significantly affecting gastrointestinal function.
  • Any psychological, familial, sociological, or geographical condition
  • potentially hampering compliance with the study protocol and follow-up schedule.
  • Prior treatment with an anti-PD-1, anti-PD-L1, anti-PD-L2, or anti-CTLA-4
  • antibody, or any other antibody or drug specifically targeting T-cell
  • co-stimulation or checkpoint pathways.
  • Any treatment, local or systemic, including prior chemotherapy, Endocrine
  • Therapy (ET), targeted therapy, and/or radiation therapy for the currently
  • diagnosed BC prior to enrollment.
  • Concurrent use of hormone replacement therapy, hormonal contraception or any
  • other estrogen-containing medication.
  • Surgical axillary staging procedure prior to enrollment (with the exception
  • 另有 2 项未显示

研究者

发起方
Bristol-Myers Squibb

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